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� <br />9 <br />PERMiIf APPLICATION <br />C17Y OF EVER�7T PERMIT SERVICES <br />3200 CEDAR STREE7, EVERETT, WA 982D1 <br />425-257-8810 - FAX 425-2b7-8857 - www.everettwa.org <br />SITE ADDRESS <br />.S 1 O Z� �� <br />LEGA LOTNO. <br />TENqNTNAME <br />jYv�c�r1- \/A�w�- <br />APPLICATIONS ARE ACCEPTED FROM 9 AM TO 4 PM <br />BLOCK <br />CONTRACTOR <br />�.���.i r���r�Yl��.l,x,,` <br />ONTR LICENSE � <br />��Ya� M� � ti � o�� <br />USE OF BUILDING <br />PARCEL TAX I.D. M <br />TRACT <br />ICONTACT fOR PERMIT <br />�t;a.� L. Larso� - Pic•�,c�c,�� <br />,���-/l' <br />=RMIT iF <br />C3U5o�f- <br />PHONE <br />2oc9- � 8`/- �Oz9 <br />AOORESS CITY2IP PHONE <br />zkou N�.J 9o+h 3t. S�zp�to qtlir� zu�- �a9-Y�oz� � <br />-- "�G���� � <br />.� <br />HEAT SOURCE CONTRACT PRICE OF WORK <br />00 <br />, EleCrir. _ C;ac � Other � i��1 � <br />WORK DESCRIPTION <br />i�c�f�r.la.. ����', ���^.� ctrc�:n tir�es Por -�Icxx sinks k-o v�E�J {�o�n1' <br />o� Conv�e.�ho�� � ex��r�n9 8`� se..�G< o_d- SC �ornef a� SpAc..�. <br />N0. � 7YPE OF FIXTURE OR ITEM <br />Toilet <br />6athtub <br />Lova:ory (waah boain) <br />Shower <br />Kitchen slnk 8 dfsposal <br />Dishwashmr <br />Clothes washer <br />I.aundry tray <br />Sink (servicePoadmop/etc.) <br />Backilow prevent=r <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Olher F400� Si�(� <br />H�.�6 D a��J <br />NO. I Tl'PE OF FIXTURE OR ITErJi <br />A/C — air handling units <br />� FofCed zir sy5tems <br />Oas pipiny <br />^ Water hea;er <br />Gas fir�piace <br />� Goa ronge <br />Clothes dryer <br />Range hood <br />� Fvhai�st(an <br />� Heat pump <br />_ Unitheater <br />Boiler <br />Retrigeration <br />� Woadstove <br />Other__. <br />CITY OF EVEREIT LOCAI SALES TWC CODE IS 3105 <br />I herehy ceriti(y ihat I haVe read end examined this applicafinn and knnw thP camo M bo inie end corceot. All provisions of lewa and <br />ordina�s governing this type ot work wll be camplied �Mth whether specified herein or not. The grenting of e permit does noi presume <br />lo give authonty to violate or cancel the provision of any ather s,ate or local law repulating eonstrudion or the pedormance of <br />construction. Tha[ I am authorized by the oevner of this property to peAorm the work for which applica:ion is made and I comply vnlh the <br />State /�CoMredors Law 182�W pnp�296200 WA6� <br />. /� � ,e.�nni� �L, ., 1 SC�'r �. 3 Zoo S <br />